Kent S. Taulbee
Dermatologist Procedural Dermatology
2418 E Lincoln St
Bloomington
, Illinois 61701-5915
Kent S. Taulbee
Dermatologist Procedural Dermatology
2418 E Lincoln St
Bloomington
, Illinois 61701-5915
(309) 662-7622
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About
Features
Specialties
- Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Kent S. Taulbee
- 2418 E Lincoln St
- Bloomington, IL
- Zip : 61701-5915
- Fax : (309) 662-7622
- Phone : (309) 663-6386
Second Address
- Kent S. Taulbee
- 2418 E Lincoln St
- Bloomington, IL
- Zip : 61701-5915
- Fax : (309) 662-7622
- Phone : (309) 663-6386
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | IL | |
| Y | 207NS0135X | Procedural Dermatology | IL |
National Provider Identifier
| NPI | 1366442444 |
|---|---|
| Provider Name | Kent S. Taulbee |
| First Address | Bloomington, IL 61701-5915 |
| Second Address | Bloomington, IL 61701-5915 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2005 |
| Last Update Date | 17/01/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5700247 | BLUE CROSS BLUE SHIELD (01) | IL |
| C44768 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.